HomeMy WebLinkAbout2408 SACADA CIR; ; 80-874; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my li,;,u,~91.is In full force and ef-
fect.
,R DECLARATION
DI hereby affirm that I am exempl from the Con-
tractor's License Law for the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, Improve, demolish, or repair any
structure, prior to Its Issuance also requires the
applicant for such permit to file a signed state-
menl lhat he Is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that Is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penally of not more than five hundred dollars
($500).
0 1. as owner of the property, or my employees
with wages as their sole compensation, will do
the work, and the structure is not Intended or of-
fered for sale (Sec. 70.4, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not Intended or of•
fered for sale. If, however, the building or Improve-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or Improve for the purpose of
sale).
CITY OF CARLSBAO-BUILOING OEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENU E (7 14) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
111 l/io.-~1 I SAC11f1~Ai-I I I ;?.~R;ftr~/4//rL) I
AV, ST. IDATE OF APPLICATION
RD ~
I I I I I I I \ \ -\ 0 '
!<SU~~~ Q ~\)~~ PRIME CONTRACTOR ?lll L~ l"'C... I STATE LICENSE
Fis\\>(\-.... ~ ,h JL"?.~ N~-"'~5o-"' t.\.15~ t~.rL~
OWNER'S MAILING
LOT l'f1
OWNER'S PHONE
_:)_'-f6x ~~As '1 '1f~3A5~S ii-re~~\~'~ ~~~~~AC~R'S
c~Dl~'c,s+,,. ~~ DESIGNER
DESCRIPTION O~~RK ~ / ~0 v-,Q.._..
l-0(:)~ L.f C)i) DESIGNER'S ADDRESS DESIGNER'S PHONE
BLOCK
eus. LICENSE
flro17
STATE LICENSE
PERMIT NUMSER
~o-j//LJ
CENSUS TRACT GP LAND USE ;;-
[,/2 I/ :'f'
ZONING 1 RES. UNITS lJ.rG SPACE I NUMBER OF STORIES
Not Valid Unless Madlin. CMtifi«J
SLOG SO. FT. BLDG USE occ. GP TSTANDARD PLAN "'--1~a~? 7b ITYPE CONST
AMT. II QTY.I M ECHANICAL ~IT
l occ. LOAD l
QTY. PLUMBING PERMIT AMT .
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT ~-<Tt BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS ·/L. 01. BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
• w ~
'.JI, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business and ProfesslQils
Code: The Contractor's License Law ~nl
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
~ . tJl VENT FAN Sll!GLE DUCT
MECH EXHAUST -HOOD/DUCTS 7/~ 'iool( --
0 ~
~ ply to an owner of property t•ho bui s b
proves thereon, and who contracts for ch
jects with a contractor(s) license pursua
contractor's License Law).
I am exempt under Sec _____ "'. '
for this reason c,.;;:r "-
Date Owner
WATER SOFTl'tER
~
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
RELOCATION OF EA FURNACE/HEATER
< ?~ ...,,, .,,,,,,,,,,,_.,../.J.1 q . {ff, TOTAL MECHANICAL
CONTRACTOR
AMT. QTY. MOBILE HOME PERMIT
WORKERS' COMPENSATION DECLARATION I NEW CONST EA AMP/SWT/BKR T:;fV II I AWNING
I hareby affirm that I have a certificate of con· 1 PH .25 3 PH • PORCH
sent to self-Insure, o, a certificate of Workers' EXIST BLOG EA AMP/SWT/BKR SET-UP Compensation Insurance, or a certified copy •
J'(!--r II SIGN PERMIT ,
PLAN CHECK
ALL INCLUSIVE PERMIT
I TOTAL PLUMBING
AMT. ELECTRICAL
MECHANICAL
thereof (Sec. 3800, La~>t; ~ W C-1 PH .25 3 PH • RAMADA, CABANA
POLICY NO. I~ b REMODEL/ALTER PER CIRCUIT FENCE OVER 6' COMPANY '8t ~ , ·
&opy is filed with t~t>~::f..zo 11 • TEMP POLE 200 AMPS . TOTAL MOBILE HOME I • II ""~u "Lm _ □Certified copy Is hereby furnished. I u OVER 200 AMPS •
u1rn_c11 u I
I
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per•
mlt Is for one hundred dollars ($11)0) or less).
I certify that In the performance of the work for
which this permit Is Issued, I ~all not employ any
person In ,q,y manner so as to become sublect to
the Workers' Compensation Laws of California.
N01 ICE TO APPLICANT: If, after making this Cer·
tlflcate of Exemption, you should become subject
t;? the Worker,· Compensation provisions of the
Labor Code, you must forthwith comply with such
proviajons or this permit shall be deemed revoked.
• CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance ol the work for
whlr:h thi,i; nPrmlt ha hao11Al1 f~•r -,no-, r i .. 11 ,..,. .... \
TEMP OCCUPANCY (30 DAYSI
~Su.-L-
TOTAL ELECTRICAL
CONTRACTOR
~ .(T() 1, -c!V
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, ANO DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
TOTAL FEES PAYABLE
~ II
~-=,-~
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
s·-o" DEEP AND DEMOLITION OR CONSTRUCTION OF
STA~ll\J'----
I
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APPLIC,('!ln S &.Q~TURE-OWNERQ
AGENT D
CONTRACT~APPRO~~
BY PHnNF n l ~
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DATE I LJi
1/,-#V"
SITE ·-'30-¥74' ADDRESS: OWNER: • PERMIT.NO:
\ FIELD INSPECTION RECORD \
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION • FORMS• SET BACK • T OILET .. . ' '. UNDER FLOOR PLUMBING . ---
UNDER FLOOR HEATING ' \ -OK TO INSTALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS • SETBACK • TOILET
OK TO P-OUR CONCRETE ,_
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTIL ATING I j..
-FRAME OK • PLACE INSULATION ~ '
INSULATION OK • PLACE WALLBOARD '
WALLBOARD OK • PLACE TAP E . ' -
EXTERIOR LATH OK • PLACE STUCCO
FIREPLACE . :-·,_ ..---' ... -., -DAMPER &STEEL
PLATE Tl Es/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE) -
,..
SEWER -
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME
• PAN j ....
FINAL INSP BY BLDG DEPT I ;_ .-
OTHER DEPT'S REQ COMPLETED 11"/ I -✓ ' ..
ELEC METER-PERM-TEMP l !ttJ1 A I _,4_/
GAS METER-PERM-TEMP IV Al/ /v ,
I"
-~
CERT OF OCCUPANCY ISSUED --